Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | CPT09848 | OH |
NPI | 1023266418 |
---|---|
Provider Name | Maria Cristina Saucedo |
First Address | Toledo, OH 43623-3533 |
Second Address | Toledo, OH 43623-3533 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/08/2008 |
Last Update Date | 28/08/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
09848 | CPT (01) | OH |
MS1745352 | DEA (01) | OH |